| NPI | 1134310840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHAVA G SURESH Owner 972-596-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J5493) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX J5493) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |